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813-780-0020 City of Zephyrhills Permit Application Fax-813-�ao-oaa� <br /> Buiiding Department <br /> � <br /> � <br /> Date Recetved Phone Coetact fcr Permitting �.�5 - � �cCGa <br /> Owner's Name --1�1 - Qwner Plsone Number ��3 ' 3�� - t 3�7 <br /> Owner's Address 1"� L�,� � Owner Phone Number r� � <br /> Fee Simple Titleholder Name �— � Owner Phone Number � � <br /> Fee Simple Titleholder Address <br /> JOB ADQRESS 3���� J � � �� � ;I, S LOT# �� <br /> StlBDN{SION ��C''� t �U � pARCEL ID# <br /> (OBTAINED FROM PROPERTY TAX NQTICE) <br /> WORK PROPOSED NEW CONSTR ApD1AtT � SIGN Q Q DEMOLISH <br /> INSTALL 8 REPAIR <br /> PROPQSED llSE Q SFR Q COMM [� OTHER <br /> TYPE QF CONSTRUC710N � BI.00K Q FRAME � BTEEL Q � <br /> pESCRIPTION OF WQRK '�'t'�+-�d FI� ;5 � `'�r T 1��j � �"� s W <br /> BUtldlNG SIZE �� � SQ FOOTAGE ��C.� 1 HEIGHT <br /> O�U��'���� � ��-��� VALUATION OF TOTAL CONSTRUCTION `b'L�t <br /> � <br /> �E�ECTRICA{. � � AMP SERVICE Q PRt1GRESS ENERGY W.R.E.C.� <br /> QPLUMBING $ ��� �..�" <br /> ��C � <br /> QMECNANlCR� $ VAIUAI'tON OF MECHANICAI.tNSTA�lAT10N � <br /> N� <br /> Q�+� .� ROQFING O SPECtA�TY C� QTHER � <br /> FINISHEQ FLOQR ELEVATIONS ��� FLOOD ZONE AREA [�YES NO <br /> BUILDEEt ���' ,��� �} COMPANY <br /> a�IGNA7URE d' REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# r�G �j�0(q/ � <br /> ELECTRICIAN COMPANY <br /> SIGNATURE REGIS7ERED Y/ N FEE CURRE� Y/N <br /> Address License# �` � <br /> PLUMBEFt COMPANY <br /> $IGNATURE ., REGISTERED Y/ N FEE CURRE� Y/N <br /> Address License# �— � <br /> ' MECHAP!lCAL COt1�PANY <br /> SiGNATURE REGISTERED Y/ N FEE CURRE� Y/N <br /> Addrsss License# r� � <br /> QTHER COlUIPANY <br /> SIGNA7URE REGISTERED Y/ N FEE CURRE� Y/N <br /> I — <br /> Address _ License# <br /> RESiDEt1T1Al. Attach{2}Plat Plans;{2}sets af Building Plans;{1)set af Energy Forms;Fi-O-W Permit fo�new construct3on, <br /> Minimum ten{10)working days aRer submittat date. Required onsfte,ConstrucGon Plans,Stormwater Plans w/Sllt Fence lnstalled, <br /> Sanitary Facilities&1 dumpster;Site Work Pertnit for subdivisions/large prajects <br /> � COMMERCiAL Attach{3}c�mplete sets af Buitding Plans plus a 1.1fe Safety Page;{i}set af Energy Forfns.R-O-W Permit for new co�structian. <br /> Minimum ten(10)working days after submittal date. Requlred onsite,Construcdon Plans,Stormwater Plans w/Sllt Fence installed, <br /> Sanitary Facilities&1 dumpster.Site Work Permit far all new projects.All commercial requirements must meeL compliance <br /> StGN P�RMIT Attach(2}sets of Engineered Plans. <br /> ""PROPERI'1'SURVEY required for all NEW constn�cBon. <br /> Dlrectlans: , ' � , •. , "�`.,'"�,j, <br /> Fill out applicatlon completely. , ', <br /> Owner 8 Contractor sign back of applfcation,notarized � � <br /> 1f over�2500,a NotEce af Gommeneement is required. (AlC upgradas over$7500) � � <br /> `" Agent(for the contractor)or Power of Attomey(for the owner)would be someone with notarized letter ftam owner autharizing same <br /> OVER TNE GOUNTER PERM11'fING � {Front bf Applicadon Only} --` . ^ ,.. .. .._.,_,..,.. _ ........,�. _,., , <br /> Reroofs ff shinglss Sewers Service�Upgrades A/C Fences(PIoGSurvey/Footage) �• � - � ' <br /> � - • , :� , -, -., . _ . , <br /> Driveways-tVot over CouMer if on publia roadways..needs i2dW • � ' "' ` 1 , , <br /> ' . �. , . •._ ... .... ,_ .. t. -..: ._ <...�..,r.,..,v.�� ,.. _., ; , .: . <br />